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Table 2 Main reported indications for caesarean section according to the type of CS

From: Individual and institutional determinants of caesarean section in referral hospitals in Senegal and Mali: a cross-sectional epidemiological survey

 

Elective (n=1 872)

Emergency (n=2 623)

Intrapartum (n=12 172)

Total (n=16 667)

Maternal indications n (%)

   

12 753 (77)

Prolonged/obstructed labour or suspected cephalopelvic disproportion

301 (16)

197 (8)

4 451 (37)

4 949 (30)

Previous caesarean section

712 (38)

320 (12)

1 209 (10)

2 241 (13)

Pre-eclampsia/eclampsia

96 (5)

717 (27)

497 (4)

1 310 (8)

Abruptio placentae

n=4

422 (16)

685 (6)

1 111 (7)

Uterine rupture

n=0

12 (1)

755 (6)

767 (5)

Placenta praevia

28 (2)

216 (8)

429 (3)

673 (4)

Other*

491 (26)

489 (19)

722 (6)

1 702 (10)

Foetal indications n (%)

   

3 914 (23)

Foetal distress

45 (2)

110 (4)

1 952 (16)

2 107 (13)

Non-cephalic presentation

83 (5)

54 (2)

1 143 (9)

1 280 (8)

Other**

112 (6)

86 (3)

329 (3)

527 (2)

  1. * Other maternal indications: post-term (1.3%), maternal request (0.7%), vaginal bleeding near full term (0.6%), post-mortem (0.3%), vaginal fistula (0.2%), genital infection (0.1%), HIV-infection (n=2), caesarean section on maternal demand (0.1%), premature rupture of membranes (n=5), not specified (7%); ** Other foetal indications: suspected intrauterine growth retardation (0.3%), not specified(2%).